FAQ


1. Dental Treatments ?

2. Dental Implants ?

3. Cosmetic Dentistry ?

4. Dental Care ?

5. Teeth Whitening ?

 

 

 

 

 

Please feel free to contact us without any commitment or cost.

We will be more than happy to answer your questions.



 






1. Dental Treatments? back

 

Bridges

If a tooth has been lost, a cosmetic dental bridge can be used to “bridge” the gap between two adjacent teeth. A specially designed structure incorporating a hollow crown to support the missing tooth is prepared in the dental laboratory. Similarly to crowns and implants, the replacement bridge will be matched to the rest of your teeth to give as natural a result as possible.

If you're missing one or more teeth, you may notice a difference in chewing and speaking. There are options to help restore your smile.

Bridges help maintain the shape of your face, as well as alleviating the stress in your bite by replacing missing teeth.
Sometimes called a fixed partial denture, a bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Bridgework can be constructed from a variety of different materials depending upon the application. 
Unlike a removable bridge, which you can take out and clean, a fixed bridge can only be removed by a dentist.

 

 

Tooth bridge diagram

Tooth bridge diagram

 

Tooth bridge before and after dental treatment

Before and after implementation of a tooth bridge 

 

Tooth crown

Tooth crown

Crowns

If you want a smile that's your crowning glory, you may need a crown to cover a tooth and restore it to its normal shape and size. A crown can make your tooth stronger and improve its appearance. 

It can cover and support a tooth with a large filling when there isn't enough tooth left. It can be used to attach a bridge, protect a weak tooth from breaking or restore one that's already broken. A crown is a good way to cover teeth that are discolored or badly shaped. It's also used to cover a dental implant.

Cosmetic Dentistry – Crowns

Cosmetic dental crowns are protective covers that are fitted over the existing sub-structure of a damaged or broken tooth. Until recently, porcelain was the material of choice due to its natural aesthetic qualities. 
Now, full ceramic crowns are available which are not only stronger but also in the opinion of many, cosmetically superior to porcelain. This is because porcelain crowns were traditionally built on top of a metal base to support strong biting forces. Unfortunately this often led to the dark line apparent at the junction between the gum and crown.

 

Full replacement dentures

If you’ve lost all of your natural teeth, whether from periodontal disease, tooth decay or injury, complete dentures can replace your missing teeth and your smile. Replacing missing teeth will benefit your appearance and your health. Without support from the denture, facial muscles sag, making a person look older. You’ll be able to eat and speak—things that people often take for granted until their natural teeth are lost.

There are various types of complete dentures. A conventional full denture is made and placed in the patient’s mouth after the remaining teeth are removed and tissues have healed which may take several months. 

 

Complete denture

Complete denture 

An immediate complete denture is inserted as soon as the remaining teeth are removed. The dentist takes measurements and makes models of the patient’s jaws during a preliminary visit. With immediate dentures, the denture wearer does not have to be without teeth during the healing period.

Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque.

What is a partial denture or overdenture?

A removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture. Your dentist can determine if an overdenture would be suitable for you.
Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework.

Dental fillings

Dental fillings are used to repair minimal tooth fractures, tooth decay, or otherwise damaged surfaces of the teeth. Dental filling materials may be used to even out tooth surfaces for better biting or chewing. In many cases, individuals with enamel loss resulting in tooth sensitivity will notice a significant improvement or complete elimination of sensitivity once the appropriate dental filling material is placed. In some cases, depending on the extent of tooth decay or damage, the affected tooth may require additional or alternative procedures such as dental crowns and root canals.
Advances in technology have created composite resin dental fillings as an alternative to traditional metal dental fillings. Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings, are made of a plastic dental resin. They are strong, durable, and make for a very natural looking smile. Many dental insurance plans cover their use. There are no known health risks of receiving composite fillings.
After a Filling
Many people experience some sensitivity after they receive a filling. The tooth may be sensitive to pressure, air, sweet foods or temperature. Composite fillings often cause sensitivity, but other types of filling material can, too.

In most cases, the sensitivity will subside over one to two weeks. Until then, try to avoid anything that causes it.

 

 

Root Canals
If there is an infected, abscessed or nerve damaged tooth, antibiotic treatment and/or a root canal may be performed before the tooth is restored.
What exactly is a root canal? A root canal is a dental procedure that is used to remove diseased pulp tissue from the interior of a tooth. The narrow channels beneath the pulp chamber in the inner part of the tooth are hollowed out and cleaned, and the roots are filed with flexible nickel titanium files. This aids in the preservation of the life and functionality of the tooth. In fact, if a root canal is not performed, the tooth may cease functioning and may require extraction.

Certain signs may indicate that you have a diseased tooth or infected nerve and therefore may need a root canal. These signs include: 

-Minimal to severe pain 

-Tooth discoloration

-Swelling and irritation in the surrounding gum tissue

-Signs of infection visible on an x-ray

Your dentist will typically recommend a root canal in such situations to save the affected tooth and preserve its functionality. 

 

Inlays and Onlays

If over half of your molar tooth's biting surface is decayed an inlay or onlay may be a better option than a filling. These options are basically for when more than a filling is needed but less than a crown will do. An inlay is placed in between the cusps of the tooth, whereas an only will cover one or more of the cusps. They can be made of a gold alloy, porcelain or tooth-colored resin and are cemented into place.






2. Dental Implants?back

 

What are Dental Implants?

Dental implants are artificial tooth replacements that are used to counter tooth loss. The procedure is categorized as a form of prosthetic (artificial replacement) dentistry, though it also falls into the category of cosmetic dentistry as well.

Although you have a number of restorative options for the treatment of missing teeth, none have proven to be as functionally effective and durable as implants. In many cases, dental implants may be the only logical choice for the restoration of all necessary functionality of the teeth and supporting structures.

Dental implants are natural-looking replacements for missing teeth that also provide the same function as your natural tooth root. They have also been used to anchor these other types of restorations for greater success and patient satisfaction.

 
Dental implants are titanium screws which are placed into the jaw bone. They form the foundation to support crowns, bridges or dentures.
Implants are well-established, tried-and-tested treatment and with regular care and maintenance can last a lifetime. Treatment time varies with the individual and a personal timetable of treatment is worked out very carefully before treatment starts.
 
Cleaning around the teeth attached to the implants is no more difficult than cleaning natural teeth but oral hygiene needs to be excellent. 
Why should you consider dental implants?
If you have lost a tooth due to an accident or from periodontal disease, that one tooth can be replaced using a dental implant.
A dental implant is an excellent way of replacing a single tooth without the disadvantages of a fixed bridge or removable dentures. It is the ideal treatment for a missing tooth because it does not affect your adjacent teeth. That means no grinding or crowning of your natural teeth for bridges, and no clasps for removable partial dentures.

So, in brief, you can use dental implants to:

 - To replace one or more teeth lost to an accident or due to tooth decay and periodontitis (gum disease) among other reasons.

 - To provide support for a partial denture

 - To increase the support and stability of full upper or lower denture

 - To enhance chewing comfort

 - To increase confidence while smiling, talking and eating

 - To improve your overall psychological health

 - To improve esthetic appearance and regain over all confidence

 

The dental implant procedure
Today's dental implants are virtually indistinguishable from other teeth. This appearance is aided in part by the structural and functional connection between the dental implant and the living bone. Implants are typically placed in a single sitting but require a period of osseointegration.
Osseo integration is the process by which direct anchorage of a dental implant root and the bone of the jaw occurs. Osseointegrated implants are the most commonly used and successful type of dental implant. An osseointegrated implant takes anywhere from three to six months to anchor and heal, at which point your dentist can complete the procedure with the placement of a crown. Once the implant has anchored with the jawbone, artificial prosthesis may be attached and the process is done. If osseointegration does not occur, the implant will fail.
 
In two words  

If you are missing a single tooth or mulitple teeth, dental implants are the way to go. They are the most natural looking way to replace missing teeth. Dental implants help maintain the integrity of the jawbone and prevent deterioration of the bone that can take place with missing teeth. It’s important to replace missing teeth as soon as possible for the full function of chewing and for a healthy, happy smile.

 
Advantages of Implant Dentistry
Dental implants are stronger and more durable than their restorative counterparts (bridges and dentures). Implants offer a permanent solution to tooth loss. Additionally, implants may be used in conjunction with other restorative procedures for maximum effectiveness. For example, an implant can serve as an anchor for a dental bridge or as a replacement for missing back teeth needed for a bridge. Implants can also be used with dentures to increase stability and reduce gum tissue irritation.
 
Success Rates of Dental Implants
Dental implants are among the most successful procedures in dentistry. There is no guarantee that an implant procedure will be successful, but studies have shown a five-year success rate of 95% for lower jaw implants and 90% for upper jaw implants. The success rate for upper jaw implants is slightly lower because the upper jaw (especially the posterior section) is less dense than the lower jaw, making successful implantation and osseointegration potentially more difficult to achieve. Lower posterior implantation has the highest success rate for all dental implants.

 

On the plus side, dental implants are not susceptible to the formation of cavities; still, poor oral hygiene can lead to the development of peri-implantitis around dental implants. This disease is tantamount to the development of periodontitis (severe gum disease) around a natural tooth.


 


3. Cosmetic dentistry? back

Who doesn't want a perfect smile? While few people have one naturally, almost anyone can get one with the help of their dentist. In addition to orthodontic treatment which can straighten your teeth, recent advances in dental materials and techniques offer near-perfect teeth that are almost as strong as the originals.

Cosmetic dentistry involves dental procedures with the aim of improving the overall aesthetics of your smile. A beautiful smile can have numerous knock on effects in an individuals self-confidence, self-esteem and personal relationships. Common cosmetic dental procedures include teeth whitening, veneers, crowns, white fillings, orthodontics, gum reshaping and dental bridges.  

 

Cosmetic dentistry may also provide restorative benefits. For example, dental fillings are a common procedure used to treat decayed teeth. Previously, most dental fillings were composed primarily of gold, amalgam, and other materials that left visible dark spots on the teeth. Today, dental fillings may fall into the category of cosmetic dentistry, because you can select fillings made of porcelain or composite materials that closely match the color of your teeth, thus maintaining the natural appearance of your teeth and smile. Many people have their older fillings replaced with newer, tooth-colored fillings to enhance their oral appearance.

 

Teeth whitening 

Tooth Whitening - What is it?
Tooth whitening (commonly refereed as teeth bleeching) is a procedure that lightens teeth and helps to remove stains and discoloration. Whitening is among the most popular cosmetic dental procedures because it can significantly improve the appearance of your teeth at much less cost and inconvenience than other techniques. 

Every day, a thin coating forms on your teeth and it picks up stains. Also, the outer layer of each tooth, called the enamel, contains pores that can hold stains. Whitening is not a one-time solution. It will need to be repeated periodically if you want to maintain the brighter color.

 

Teeth whitening treatment: teeth before treatment

before and after treatment  

Teeth whitening treatment: teeth after treatment

What it's used for

The most common reasons for yellowing or stained teeth are aging, tobacco, tea and coffee, which can stain the surface of the teeth.

It is also possible to have stains that are inside the tooth. These are called intrinsic stains. For example, intrinsic stains can be caused by exposure to too much fluoride as a child while teeth are developing.

 
Preparation
Cavities need to be treated before teeth are whitened because the whitening solution can penetrate decay and reach inner areas of the tooth, which can cause sensitivity. Also, whitening will not work on exposed tooth roots, because roots do not have an enamel layer. Receding gums can cause roots to become exposed. Whitening also does not work on crowns or veneers.
 
Risks - Does it hurt ? what are the side effects of teeth whitening?

Tooth whitening is unlikely to cause serious side effects, although some people’s teeth may become more sensitive temporarily. There may be mild gum irritation as well. Whitening procedures should not be done while a woman is pregnant because the effect of the whitening materials on the development of the fetus is not known. Since the procedure is cosmetic and option, it should be postponed until after delivery.

 

In two words 

Teeth whitening is the process of removing stains and discolouration from teeth and improving their colour through a bleaching process to make them look “whiter”. It is easily done by the dentist and usually lasts 45 - 90 minutes.

 

 

 

 

 

 

 

Dental Veneers

Dental veneers are custom-designed shells of tooth-like ceramic material that, when applied over the surface of a tooth, can cover worn tooth enamel, uneven tooth alignment, or spacing and chips or cracks. Dental veneers fall into the category of cosmetic dentistry because they create a bright, white smile with beautifully aligned, shapely teeth. Even better, the translucent ceramic quality of today's veneers provides a more natural look than what’s been available in the past. Regardless of what causes unattractive teeth, dental veneers may solve most or even all of your cosmetic dental issues.

 

Bonding

For chipped or cracked teeth, bonding is the application of a tooth-colored composite resin (plastic) to repair a decayed, chipped, fractured or discolored tooth. Unlike veneers, which are manufactured in a laboratory and require a customized mold to achieve a proper fit, bonding can be done in a single visit. The procedure is called bonding because the material bonds to the tooth.

What is it used for?
Bonding is among the easiest of cosmetic dental procedures. The composite resin used in bonding can be shaped and polished to match the surrounding teeth. Most often, bonding is used for cosmetic purposes to improve the appearance of a discolored or chipped tooth. It also can be used to close spaces between teeth, to make teeth look longer or to change the shape or color of teeth.

Tea, coffee, cigarette smoke and other substances can stain the resin. To prevent or minimize stains, it's essential to avoid eating or drinking foods that can stain for the first 48 hours after any composite procedure.

Orthodontics
Orthodontics is the branch of dentistry that corrects teeth and jaws that are positioned improperly. Crooked teeth and teeth that do not fit together correctly are harder to keep clean, are at risk of being lost early due to tooth decay and periodontal disease, and cause extra stress on the chewing muscles that can lead to headaches, TMJ syndrome and neck, shoulder and back pain. Teeth that are crooked or not in the right place can also detract from one's appearance.
The benefits of orthodontic treatment include a healthier mouth, a more pleasing appearance, and teeth that are more likely to last a lifetime.

A specialist in this field is called an orthodontist. Orthodontists receive two or more years of education beyond their four years in dental school in an ADA-approved orthodontic training program.

How do I know if I need Orthodontics?
Only your dentist or orthodontist can determine whether you can benefit from orthodontics. Based on diagnostic tools that include a full medical and dental health history, a clinical exam, plaster models of your teeth, and special X-rays and photographs, an orthodontist or dentist can decide whether orthodontics are recommended, and develop a treatment plan that's right for you.
 
If you have any of the following, you may be a candidate for orthodontic treatment:
 
Overbite, sometimes called "buck teeth", where the upper front teeth lie too far forward (stick out) over the lower teeth
Underbite, a "bulldog" appearance where the lower teeth are too far forward or the upper teeth too far back
Crossbite, when the upper teeth do not come down slightly in front of the lower teeth when biting together normally
Open bite, space between the biting surfaces of the front and/or side teeth when the back teeth bite together
Misplaced midline, when the center of your upper front teeth does not line up with the center of your lower front teeth
Spacing - gaps, or spaces, between the teeth as a result of missing teeth or teeth that do not "fill up" the mouth
Crowding, when there are too many teeth for the dental ridge to accommodate
 
How does orthodontic treatment work?

Many different types of appliances, both fixed and removable, are used to help move teeth, retrain muscles and affect the growth of the jaws. These appliances work by placing gentle pressure on the teeth and jaws. The severity of your problem will determine which orthodontic approach is likely to be the most effective.

 




4. Dental Care? back

Prevention is always better. But even after a dental treatment, taking care of your oral health is vital. Here are some general advice regarding your dental health. 

·          Brush your teeth twice a day with a fluoride toothpaste.
·          Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth.
·          Clean between teeth daily with floss or an interdental cleaner. Decay–causing bacteria still linger between teeth where toothbrush bristles can’t reach. This helps remove plaque and food particles from between the teeth and under the gum line.
·          Eat a balanced diet and limit between-meal snacks.
·          Don't smoke or chew tobacco
·          Visit your dentist regularly for professional cleanings and oral exams.
 
Child Oral Health
The best way to ensure that your child does not get cavities or gingivitis is to instill proper oral habits early. Good oral hygiene routines should be established as early as infancy and continued throughout life.
·          Even before teeth begin to erupt, thoroughly clean your infant's gums after each feeding with a water-soaked infant washcloth or gauze pad to stimulate the gum tissue and remove food. When the baby's teeth begin to erupt, brush them gently with a small, soft-bristled toothbrush using a pea-sized amount of fluoridated toothpaste.
·          A small amount of fluoridated toothpaste will help to inhibit decay. Fluoride is also found in mouth rinses, community water supplies, and in some foods.
·          At age two or three, you can begin to teach your child proper brushing techniques. But remember, you will need to follow up with brushing and gentle flossing until age even or eight, when the child has the dexterity to do it alone.
·          Schedule regular oral health appointments starting around your child's first birthday. Your oral health professional will check for cavities in the primary teeth and watch for developmental problems, as well as help to create a positive experience that may alleviate fear at future visits.

·          Allow and encourage your child to discuss any fears he or she might have about oral health visits, but do not mention the words 'hurt' or 'pain'. Saying "it won't hurt" instills the possibility of pain in the child's thought process.






5. Teeth Whitening? back

 

Tooth bleaching, also known as tooth whitening, is a common procedure in general dentistry but most especially in the field of cosmetic dentistry. Many people consider white teeth to be an attractive feature of a smile. A child's deciduous teeth are generally whiter than the adult teeth that follow. As a person ages the adult teeth often increase in value--that is to say, they become darker. This darkening is due to changes in the mineral structure of the tooth, as the enamel becomes less porous. Teeth can also become stained by bacterial pigments, foodstuffs and tobacco.
a

As white teeth are subconsciously associated with youth, they have become desirable. This has been made more apparent with the spread of American culture worldwide, where an especially white smile is coined a "Hollywood smile." The procedure to bleach teeth uses oxidising agents such as hydrogen peroxide to lighten the shade of the tooth. The oxidising agent penetrates the porosities in the rod-like crystal structure of enamel and oxidises interprismatic stain deposits; over a period of time, the dentine layer, lying underneath the enamel, is also bleached.

There are two main methods of bleaching. The first involves applying a high concentration of oxidising agent for a short period of time, which is the so-called office bleach. This produces quick results but risks chemical burns to the soft tissues. Therefore, most in-office bleaching procedures use a light-cured protective layer that is carefully painted on the gums and papilla (the tips of the gums between the teeth). The bleaching agent is either carbamide peroxide, which breaks down in the mouth to form hydrogen peroxide, or hydrogen peroxide itself. The bleaching gel typically contains up to 35% hydrogen peroxide equivalent.

The alternative method involves using a thin mouthguard or strip to hold a low concentration of oxidising agent next to the teeth for as long as several hours a day for a period of 5 to 14 days. This is known as take-home or over-the-counter bleaching. This is a slower process but has fewer risks to the soft tissues. The bleaching agent is typically less than 10% hydrogen peroxide equivalent.

A typical course of bleaching can produce dramatic improvements in the cosmetic appearance of most stained teeth; however, some stains do not respond to bleaching. Tetracycline staining may require prolonged bleaching, as it takes longer for the bleach to reach the dentine layer. White-spot decalcifications may also be highlighted and become more noticeable.

Recently, efforts have been made to accelerate the bleaching process by the use of light. Studies have shown varying results as to the efficacy of light-activated bleaching.

Side effects of tooth bleaching include: chemical burns (if a high-concentration oxidizing agent contacts unprotected tissues, which may bleach or discolor mucous membranes), sensitive teeth, and overbleaching (known in the profession as "over white teeth"). Rebound, or teeth losing the bleached effect and darkening, is also an issue, with some studies showing the rebound effect over 30 days. A recent study by Kugel et al has shown that as much as 4 shades of lightness can be lost over 30 days with light-activated/office bleaching.